Application effect of quality management of diabetes special nursing based on index orientation in geriatric hospital
10.3760/cma.j.cn115682-20200514-03348
- VernacularTitle:基于指标导向的糖尿病专科护理质量管理在老年医院的应用效果
- Author:
Yurong ZHAO
1
;
Changchun LUO
;
Baofeng DENG
;
Aijun ZHANG
;
Jing ZHAO
;
Yanhong MA
;
Qian ZHANG
;
Xiangguo LIU
Author Information
1. 北京老年医院内分泌科 100095
- Keywords:
Diabetes mellitus;
Total quality management;
Index orientation;
Special nursing;
Homogeneous management
- From:
Chinese Journal of Modern Nursing
2021;27(4):469-474
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the application effect of quality management of diabetes special nursing based on index orientation in geriatric hospital.Methods:The evaluation index of diabetes special nursing quality management was established based on PDCA cycle management and Donabedian model. This index was applied to conduct training, supervision and assessment of diabetes special nursing in 25 nursing units of Beijing Geriatric Hospital from January to December 2019, and the homogenized management of diabetes special nursing in the whole hospital was finally realized. The knowledge and skills of diabetes of in-hospital nurses and patients at 3, 6, 9 and 12 months before and after the implementation were compared, as well as the quality management examination of diabetes special nursing in 25 nursing units. SPSS 17.0 software was used in statistical analysis.Results:The constructed evaluation index of diabetes special nursing quality management included 2 first-level indexes, 7 second-level indexes and 11 third-level indexes. After the implementation of homogeneous management, the scores of nurses and patients in diabetes specialist knowledge and skills were higher than those before implementation, and the differences were statistically significant ( P<0.01) . The scores of quality examination of diabetes special nursing (insulin management, insulin pen management, glucose meter management, hypoglycemic drug taking method) were higher than those before the implementation, and the differences were statistically significant ( P<0.01) . After 12 months of implementation, the scores of quality examination of diabetes special nursing (quality management manual writing, nurse training) were all higher than those after 3 months of implementation, and the differences were statistically significant ( P<0.01) . Conclusions:Establishing evaluation index of quality management of diabetes special nursing in geriatric hospitals and adopting homogeneous management can effectively promote non-endocrinology department nurses to master the knowledge and skills of diabetes special nursing and help improve the management quality of diabetes special nursing.
